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RCP 421: Clinical Internship in Respiratory Care

Learning Contract
This learning contract outlines the purpose of the clinical internship, learning outcomes, and performance criteria as relevant to
the student’s identified focus of study. The contract should be used by the student and clinical preceptor(s) to identify clinical
practice procedures and experiences in which the student should participate, in order to facilitate and satisfy the overall
purpose and leaning outcomes, as detailed in the body of the learning contract.

THIS AGREEMENT is entered into by and between:

Paige Suroviak
Baptist Memorial College of Health Sciences
Respiratory Care Program
1003 Monroe Avenue
Memphis, TN 38104

Baptist Memorial Hospital Desoto

Respiratory Care
7601 Southcrest Pkwy
Southaven, MS 38671


My overall learning goal for my clinical internship is to enhance my knowledge and skill set that align with entry-level practice
for Respiratory Care professionals.

INTERNSHIP FACILITATORS {clinical preceptor(s)}:

For Clinical Affiliate: Department Director: Lori Turpen

Department Name: Respiratory Care department

Preceptor: Shinerica Hunley, RRT

Abby Stanfill, RRT

For Baptist College: Kira Anderson, MSA, RRT

Program Chair, Assistant Professor, Respiratory Care

LEARNING OUTCOMES: Upon completion of this clinical internship, the senior student will be able to:
1. Demonstrate knowledge of diagnostic techniques to include; hemodynamics, arterial line
sampling, and bronchoscopy assisting.
2. Interpret mechanical ventilator parameters for the purpose of assessing the patient’s response
to mechanical ventilation and recommend appropriate changes.
3. Demonstrate knowledge and skills associated with airway management techniques to include;
intubation, extubation, and tracheostomy care for the purpose of maintain airway patency.
4. Assess and critique problematic scenarios involving the patient’s condition on the basis of
specific standards and criteria.

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RCP421: Internship in RC: Rev: Fall 2017
RCP 421: Clinical Internship in Respiratory Care
Learning Contract
PERFORMANCE CRITERIA: These criteria should be used by the clinical preceptor(s) and the student as a guide in
planning activities that should be completed during the clinical internship. These activities are intended to
demonstrate student’s participation in experiences that facilitate competency development, as applicable to the
practice setting and achievement of learning outcomes.

Procedure Rationale Correlation to Learning Outcome

 Categorize procedures as applicable to:  Describe how this learning activity will  Identify the learning outcome that is
therapeutic interventions/modalities facilitate new knowledge, reinforce associated with this learning activity.
{e.g., airway mgmt.; ventilatory support prior learning; and improve clinical
mgmt.; etc.}, diagnostics, patient/family skillsets, as applicable.
teaching, etc.

Airway management
By participating in these airway Demonstrate knowledge and skills
 Intubation management skills, the student is associated with airway management
 Extubation retaining and facilitating knowledge techniques to include; intubation,
 Nasotracheal suctioning that was gained in previous didactic extubation, and tracheostomy care
 Tracheostomy care courses and improving the clinical for the purpose of maintain airway
skillset. patency.

Make correlations between the Demonstrate knowledge of
 Bronchoscopy assisting numbers observed and what the diagnostic techniques to include;
 Arterial sampling puncture/ patient’s demonstration tells. hemodynamics, arterial line
line Relating the numbers to what is sampling, and bronchoscopy
 Assessing/correcting seen from the patient. assisting.
hemodynamic parameters
Ventilatory support management
Application of specialty mode use Interpret mechanical ventilator
 Initiating ventilatory will improve knowledge gained parameters for the purpose of
support during didactic courses and initiating assessing the patient’s response to
 Weaning and weaning parameters will mechanical ventilation and
 Using specialty modes promote critical thinking. recommend appropriate changes.

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RCP421: Internship in RC: Rev: Fall 2017
RCP 421: Clinical Internship in Respiratory Care
Learning Contract

1. Supervise the learning activities of the student in accordance with institutional and departmental policy and
procedure, state licensure requirements, and healthcare regulatory standards.
2. Instruct student learning as guided by departmental standards of practice, American Association of
Respiratory Care (AARC) Clinical Practice Guidelines, and other applicable professional guidelines/standards
of practice.
3. Plan, facilitate, and monitor student’s performance, to include student’s assigned work schedule/shift and
daily activities.
4. Serve as resource to assist student with acquiring educational opportunities and clinical experiences
relevant to learning outcomes identified in this contract.
5. Role-model professional behavior and ethical conduct in provision of patient care and interdisciplinary
6. Assess and validate student’s competence in accordance with learning objectives and/or performance
criteria; institutional and/or Baptist College competency validation tools (available in Trajecsys, clinical
management system) should be used to determine competence.
7. Evaluate student’s performance, using the evaluation tools provided by the Program (available in Trajecsys,
clinical management system).

1. Comply with institutional and departmental policies/procedures and healthcare regulatory standards, as
applicable to the performance of assigned duties.
2. Adhere to instructions provided by preceptor(s); seek clarification as needed to ensure quality performance
and minimize risks of performance-related incidents.
3. Demonstrate professional and ethical conduct in the provision of patient care and interprofessional
4. Participate in learning activities relevant to focus of study (e.g., physician/interprofessional rounds,
aggregation of quality improvement data, staff meetings, patient/family teaching).
5. Satisfactorily perform procedures as outlined in the performance criteria section of the Learning Contract.
6. Document learning and performance activities in accordance with Baptist College using Trajecsys, clinical
management system.
7. Document daily narratives detailing how activities align with satisfying identified learning outcomes, to
include cognitive and psychomotor domains of learning. Each narrative should include at minimum: date
and shift (hours assigned); learning outcome to be highlighted in the narrative; and as related to the learning
outcome: new knowledge gained, improved knowledge of previously learned materials; and the student
demonstrated knowledge and skill.
8. Evaluate preceptor(s)’s performance as relevant to facilitating clinical internship.

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RCP421: Internship in RC: Rev: Fall 2017
RCP 421: Clinical Internship in Respiratory Care
Learning Contract


The signatures below indicate that the parties agree to comply with the terms of this Learning Contract. Should modification of
the agreed upon terms become necessary, written notification and revisions must be provided to the Program Chair.

Clinical Affiliate: _______Lori Turpen_________ ____________________________________

Department Director/Manager Signature: Department Director/Manager

Internship Preceptor(s): Shinerica Hunley, RRT __ ___________________________________

Name and Credential Signature, Credential, Date

_________ Abby Stanfill, RRT__________ ___________________________________

Name and Credential Signature, Credential, Date


_____________Paige Suroviak, SRT____________ ____________________________________

Name and Credential Signature and Date

Baptist College Program Chair:

__________Kira M. Anderson, MSA, RRT________ ___________________________________

Program Chair Signature and Date

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RCP421: Internship in RC: Rev: Fall 2017